No VI (i)

FORM OF CERTIFICATE FOR SCHEDUELD CASTES/SCHEDULED TRIBES

Dispatch No................ Date...............

1. It is certified that Shri/Smt./Kumari.....................................................................................................................son/daughter of Shri...............................................................................................................................of village/town..................................................................................................................District/Division..............................................................................................................................................state of Punjab belongs to.......................................................................................................................................caste which has been recognized as scheduled Caste as per ‘’The Constitution (Scheduled Castes) Order,1950’’

2. Shri/Smt./Kumar......................................................................................................and his/her family lives in village/town .........................................................................................District/Division of Punjab State. Place............................. Signature( Refer Annexute VI Sl.no 2) Designation Date.................................. Seal of Officer

No VI (ii)

*AFFIDAVIT OF THE PARENTS/GUARDIAN TO BE ATTESTED BY AN EXECUTIVE MAGISTRATE/OATH COMMISSIONER/NOTARY PUBLIC IN CaSE OF Paret (a)& (b) of Annexure VI I....................................................................................................Father/ Mother / Guardian of Miss/Mr..................................................................resident of (full address to be given)..........................................................................................................................................

Do,hereby,solemnly state and affirm as under

1. That i am a citizen of india. 2. That neither the deponent nor the child/ward of the deponent have obtained the benefit of Residence in any other state

Dated..............

Verification: DEPONENT Verified that the contents of my above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Dated....................... DEPONENT

No VI (ii)

**CERTICATE TO BE ISSUED BY THE PRINCIPAL/HEAD MASTER OF THE GOVERNMENT/ RECOGNISED SCHOOL/COLLEGE CONCERNED

IN CASE OF CATEGORY (b) (i)

It is certified that Miss /Mr......................................................................................................................................................................

D/o,S/o Sh .......................................................................................has been a student of this school / college for a period of

........................................................................years, from..................................................to .......................................................

He/She left the School /College on...........................................................................................................................................

Dated.......................................... Signature of Principal/Head Master

Of the School/College (with seal)

No VI(iv)

CERTIFICATE TO BE ISSUED BY HEAD OF DEPARTMENT IN CASE OF CATEGORY (b) (ii) (a)

Certified that Mr/Ms................................................S/o/W/o Sh..............................................................................................................

Father/mother of Miss/Mr................................................................................................................................ (name of the child /Ward)

Is an employee of the ................................................................................................(name of office)of Punjab GOVERNMENT. He/

She is working as ............................................................................... and is posted at ..................................................................He/she

Has more than three years service at his /her credit.

Date......................................... Head of Deptt.(Seal)

Place......................................

OR

Certified that Mr ./Miss ...........................................S/o / W/o Sh ...........................................................................

Father / mother of Miss / Mr ..................................................... is an employee of the ............................... of Punjab

Government. He/she is working as ...................................................................................................on deputation with

More than three years service at his/her credit.

Place ...................................... Head of the Department

(with Seal)

Dated..............................

* This affidavit is to be given by all candidates. ** Any one of these certificates ,as applicable to the candidate according to the Punjab Govt.instructions ,is to Be given. No VI(v)

**CERTIFICATE TO BE ISSUED BY THE RESPECTIVE HEAD OF THE DEPARTMENT IN THE CASE OF CATEGORY (b) (ii) (b)

Certified that Mr.Mrs .....................................................S/o/W/o sh ................................................................is

Father / mother of Miss / Mr....................................................... is an employee of Govt.of India and he/she is working as

.........................................................................................He/She has been Posted at Chandigarh / Punjab in connection with the affairs of Punjab

Government for the past three years.

Dated .................................. Head of the Department

(with seal)

No VI(vi)

**CERTIFICATE TO BE ISSUED BY THE RESPECTIVE HEAD OF THE DEPARTMENT IN THE CASE OF CATEGORY (b) (ii) (c)

Certified that MR. Mrs........................................... S%/W%, /Sh.........................................................................................................................................is

Father/ Mother of Miss, \Mr................................................................is an employee of .....................................................................................................

.............................................................................................(institution/ undertaking) of the Government of Panjab and is working as

.............................................................................................He/ She has been posted at Chandigarh/ Panjab in connection with the affairs of panjab

Gaverment for period of past three years.

Dated............................ Head of Department

With seal

No VI(vii)

CERTIFICATE TO BE ISSUED BY THE RESPECTIVE HEAD OF THE DEPARTMENT IN THE CASE OF CATEGORY (b) (ii) (d)

Certified that MR./Mrs........................................... S%,W%, Sh................................................................................is Father, Mother of Miss, \Mr

............................................................... .is an employee of .....................................................................................................in which the Punjab Government

has 20% or more share.

He/ She has three year service in the above said autonomous body/company.

Dated............................ Head of Department

With seal

No VI(viii)

RESIDENCE CERTIFICATE TO BE ISSUED BY THE DC, ADC (R) ADC (D) SDM, ASSTT, COMMISSIONER GENRAL, D.O.R.G, D.R.O, E.M, TEHSILDER,

COMMISSIONERS OF MUNICIPAL CORPORATIONS OF AMRITSAR, JALANDHAR AND LUDHIANA IN CASE OF CATEGORIES (iv)

Certified that MR./Mrs( Name of person)........................................... S%,W%, Sh................................................................................is

Father/ Mother/ Guardian of Miss, \Mr................................................................( name of the child/ ward with full address) has settled* in Punjab for a

period of 5 years from..........................................................................................to....................................................................................He/ She is working

as.........................................

*Strike out whichever is not applicable

Signature of DC, ADC (R) ADC (D) SDM, ASSTT, COMMISSIONER

GENRAL, D.O.R.G, D.R.O, EM, tehsildar, Commissioners of

Municipal Corporations of Asr., Jal. And Ldh

No VI (ix)

*RESIDENCE CERTIFICATE TO BE ISSUED BY THE DC, ADC (R), ADC (D), SDM, ASSTT. COMMISSIONE GENERAL, DORG, DRO, EM, TEHSILDAR,

COMMISSIONERS OF MUNICIPAL CORPORATIONS OF AMRITSAR, JALANDHAR AND LUDHIANA IN CASE OF CATEGORY (v)

Certified that Mr/Mrs. (name of person)................................................................S/o /W/o Sh...................................................................................

Father/mother/guardian of Mr./Miss....................................................................(name of the child/Ward with full address) hold immovable property at

(place & district)...........................................................................................................................................in the state of Punjab for the past

..........................................years.

Dated Signature of DC,ADC (R), ADC (D), SDM, Asstt. Commissioner General,DORG,Tehsildar,based on copies of Jamabandhi, Revenue Record, Municipal Record, Registered deed or any other document to The full satisfaction of the DC.

No VI(x).

**RESIDENCE CERTIFICATE TO BE ISSUED BY THE DC, ADC (R), ADC (D), SDM, ASSTT. COMMISSIONE GENERAL, DORG, DRO, EM, TEHSILDAR,

COMMISSIONERS OF MUNICIPAL CORPORATIONS AMRITSAR, JALANDHAR AND LUDHIANA IN THE CASE OF CATEGORIES (vi)

Certified that Miss/Mr. ....................................................................................... S/o /D/o Sh .......................................................................................resident

of ..........................................................................................................................was born in Punjab as per birth certificate.

Dated Signature of DC,ADC (R), ADC (D), SDM, Asstt. Commissioner

General, DORG, DRO,EM, Tehsildar. Commissioners of municipal

Corporation. Asr., Jal & Ldh.

No VI(xi).

FORM OF CERTIFICATE OF BACKWARD CLASS

1. This is to certify that Shri/ Smt /Kumari ...............................................................................son/daughter of ............................................

Village/Town......................................................................in district /division ..............................................................of the state of

Punjab Govt.letter No............................dated.............................................

2. This is also certified that he/she does not belong to any category of parson/sections mentioned in column 3 of the schedule to Punjab

Government. Department of Welfare letter No. 01/41/93-RCI/459 dated 17/01/1994 and No. 8/144/93-BS/7017 dated 27.9.95

3. Shri /Shrimati / Kumari .................................................................................and or his/her family ordinarily reside(s)in village /town

..........................................................................................of District Division ......................................................................of the State of

Punjab.

Place: Signature:

Date: Designation:

State: (with office seal of the officer concerned)

No VI(xii).

BACKWARD AREA CERTIFICATE

Despatch No.................. Date..................

Certified that.............................................................................................................................................Son\daughter of Shri ............................................................... an

applicant for admission to Degree level Egg.\Architecture Courses is a permanent resident of village..................................which has been recognised as Backward Area in

accordance with the Instructions issued by the Punjab Govt. From time to time.

Dated..................... DC/GA to DC/SDM/SDO (civil)

Office Seal

No VI(xiii).

CERTIFICATE TO BE FURNISHED BY CHILDREN/GRAND CHILDREN OF POLITICAL SUFFERERS/FREEDOM FIGHTERS

Despatch No................ Dated...................

Certified that Mr/Mrs.........................................................................................................................................an applicant to Degree level Engg./Architecture Course is a Son

/daughter/Son’s son/ son’s daughter or daughter ‘son/daughter’s daughter of (delete whichever is not applicable)

Shri...... Who is Tamra Patra holder/and drawing pension from................treasury.

OR

Mr./Ms...................................an applicant to Degree level Engg. /Architecture Course is Son/daughter of Sh..................................who had undergone three month’s

imprisonment in connection with Emergency/Punjabi Suba or Dharam Yudh Morcha for the demands of the State of Punjab.

Signature of District Magistrate of the district concerned Office Seal

Dated...............

No VI(xiv).

CERTIFICATE FOR BORDER AREA

Despatch No.................... Dated...............

Certified that Mr./Ms..............................................................................Son/daughter of Shri..............................................................................

Resident of..........................................................District ............................................................

An applicant for admission to Degree level Engg./Architecture Course , is reading in Border Area and belongs to Area which has been recognised as border Area in

accordance with the instruction contained in Punjab Govt. Letter No. 723-RR-70/7371 dated 31-03-1970 as amended from time to time.

Dated ..................................................... Signature DC/GA to DC/SDM/SDO (CIVIL) official seal

Despatch No........................ Dated.................................. No. VI (xv)

CERTIFICATE OF DEATH/ INCAPACIATION OF MILITARY

PARA- MILITARY PERSONNEL

Certified that Mr/ms............................................................................................................................................

An applicant for admission to Degree Level Engg./ Architecture Course, is the son/ daughter/ spouse of

Mr./ Ms..................... who was killed / incapacitated to the extent of 50% or more in action or died otherwise in

service on/ or incapacitated to the extent of 50% or more while in service during peace time.

Dated:................................. Signature of Authorised officer Headquarter

Official Seal

Despatch No...................... Dated.................................. No.VI (xvi)

CERTIFICATEE TO BE FURNISHED BY WARDS OF MILITARY /

PARA- MILITARY PERSONNEL ( EX- SERVICEMEN)

This is certified that No Rank,.....................................................................................................

Name............................................................................................................ is a resident of Village/ Town and has served in the Indian Armed

Forces from .................................... to ............................................. and has been released / retired vide order No.....................................

dated...................................... Mr. /Ms / Smt. ..................................................................................................... wife/ son / daughter of

........................................................................... is residing with him and is wholly dependent upon him . This certificate has been issued for admission

purpose only to Mr. / Miss. / Smt. ..................... to apply for ( name of the class course) ............................................. in ( name of the educational

instituition)

................................................

( Strike out which is not applicable)

No ................................... Deputy Director Sainik Welfare Place............................... Dated..............................

CERTIFICATE TO BE FURNISHED BY WARDS OF MILITARY/ NO VI (xvii)

PARA- MILITARY PERSONNEL ( IN – SERVICE)

Certified that Sh. / Smt. .......................................................................................................................................................... an applicant to Degree level

Engg. / Architecture Course is a son’s / daughter / spouse of Sh. ......................................... Rank ............................................... Employed in

unit.....................................................................................

Dated: ............................................. Signature of Commanding Officer of the unit

Official Seal

No.-VI (xviii)

Despatch No…………………. Dated…………………

CERTIFICATE OF ARMY DESERTERS AFTERMATH OPERATION BLUE STAR

Certified that Mr. /Ms……………………………………………………………………………………………………………………………………..

An applicant for admission to degree level Engg. /Architeture course, is the son/ daughter/spouse of Mr./Ms………………………………………………Rank

…………………………………………………………………………………………………………………………………who deserted Army Aftermath Operation Blue Star.

Place:

Dated:

Deputy Director Sainik Welfare

No.VI (xix)

Dispatch No…………… Dated……………………

CERTIFICATE OF GALLANTRY AWARD TO POLICE PERSONAL

Certified that Mr./Ms ______________________________________________________________ an application for Admission in degree level Engg. Course

is the son/daughter/spouse of Shri_____________________________ who was awarded president’s Police Medal / Police Medal for gallantry.

Dated: __________________________ Official Seal Signature of Inspector General of Police

NO. –VI (XX)

Despatch No…………….. Dated……………….

FORMAT OF DEATH CERTIFICATE TO BE ISSUED BY THE CONCERNED SUB DIVITIONAL OFFICER(CIVIL) IN RESPECT OF INNOCENT CIVILIENT CIVILIANS

KILLED/100%/PHYSICALLY INJURED BY TERRORISTS/SECURITY FORCES ACTING IN AID OF CIVIL POWER

It is certified that Mr/Ms ………………………………………………………… son/daughter/wife of Shri/Smt………………………………………………………………………………. resident

of…………………………………………………………………………………………………………………. ( Name of Village,Tehsil in case the deceased belong to rural area/House

number, name of Mohalla and area of town in which he/ she belongs) was lilled 100% physically disabled by the terrorists/security forces acting in aid of

civil power on……………………………………………………………………………………………………………….. in Village/ Mohalla

Tehsil/Town………………………………………………………… District. He was neither terrorist nor having any links with such elements.

APPLICATBLE TO GOVT. EMPLOYEES ONLY

1. He /She was working as ………………………………………………………………………….. in the Department of …………………………………………………………………… at

…………………………………………………………………………………………

2. This certificate is issued on the basis of the report of…………………………………………………………………………

(Name of Police authority).

3. The certificate is issued on the request of Shri……………………………………………………………………….

(Name and relationship of applicant with deceased).

Signature of the SDD© concerned with Seal

No- VI(xxi)

CERTIFICATE OF DEATH/ INCAPACITATION OF MILITARY/PARA-MILITARY PERSONNEL

Certified that Mr./ Miss/Mrs…………………………………………………………………………………………………………………. an applicant for admission to Degree

Level Engineering/ Architecture Course is the Son/ daughter/ Spouse of Mr………………………………………………………………………………………who was

killed/ hundred percent incapacitated in terrorist action on ……………………………………………………………………………………………………….

Dated: Signature of Authorised officer

Headquater: official seal

CERTIFICATE REGARDING PASSING OF GRADUATION EXAMINATIONS

It is certified that Mr./Ms...................................................S/o D/o Sh. ....................................................... and Smt. ..................................................................... has passed GRADUATION examinations as a regular candidate from our recognised school / college which is located in the State of Punjab.

Place: Signature of Principal/ Head of the Institution with seal

Date

MEDICAL FITNESS CERTIFICATE

I certify that I have carefully examined Sh./Km................................................................................................son/daughter of Shri................................................................

His/Her age is about ....................................................................................................His Chest Measurement is _________________________________

Unexpanded.....................................................cm Expanded..........................................................cm

His/her eyesight is upto the prescribed standards.

Details of glasses, (if worn).......................................................................................... He/she has no disease or mental or bodily infirmity unfitting or likely to unfit him/her in the future for active outdoor service.

Marks of identification

Thumb impression

Dated...........................................

(Signature of Gazetted Medical Officer) Official Seal

Signature of the candidate

Paste Passport size photograph first with gum and then get attested by M.O. conducting medical test.